Healthcare Provider Details

I. General information

NPI: 1982599973
Provider Name (Legal Business Name): CHRISTOPHER RYAN BALESTRINI RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 NEW SCOTLAND AVE
ALBANY NY
12208-3409
US

IV. Provider business mailing address

60 DESSON AVE APT 1
TROY NY
12180-5204
US

V. Phone/Fax

Practice location:
  • Phone: 518-549-6000
  • Fax: 518-549-6804
Mailing address:
  • Phone: 518-524-1285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number975956
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: